Lewis Jane E A, Tozer Joanna, Lobban Trudie, Evans Andrea, Banner Matthew, Ambrose Lawrence
Cardiff Metropolitan University, Cardiff, UK.
Arrhythmia Alliance, Warwickshire, UK.
J Foot Ankle Res. 2025 Mar;18(1):e70043. doi: 10.1002/jfa2.70043.
Atrial fibrillation (AF) is a global health crisis affecting 33.5 million people, with costs projected to reach £75 billion by 2035. A significant concern is that 43-48% of cases are asymptomatic, increasing the risk of stroke and heart failure. While general population screening lacks strong support, targeted screening shows promise in reducing stroke occurrence and healthcare costs. Podiatrists, who frequently treat adults of advancing age, are uniquely positioned to detect AF in high-risk, asymptomatic individuals. This commentary advocates for opportunistic AF screening by podiatrists and other healthcare professionals, offering guidance for implementation. Early detection through defined referral pathways is crucial for timely diagnosis and management, potentially reducing AF-related strokes that can lead to early mortality. Further high-quality podiatry-led studies are recommended to build on this commentary paper.
心房颤动(AF)是一场全球健康危机,影响着3350万人,预计到2035年成本将达到750亿英镑。一个重大担忧是,43%-48%的病例无症状,这增加了中风和心力衰竭的风险。虽然普通人群筛查缺乏有力支持,但针对性筛查在降低中风发生率和医疗成本方面显示出前景。足病医生经常治疗老年成年人,他们在检测高危无症状个体的房颤方面具有独特优势。本评论主张足病医生和其他医疗专业人员进行机会性房颤筛查,并提供实施指导。通过明确的转诊途径进行早期检测对于及时诊断和管理至关重要,有可能减少可导致早期死亡的房颤相关中风。建议开展更多由足病学主导的高质量研究,以基于本评论文章进一步深入研究。